DANIEL JACOB KENNEDY (NPI# 1760562490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760562490 |
| Entity Type | Individual |
| Full Name | DANIEL JACOB KENNEDY |
| Credential | DDS |
| Practice Address |
2365 S Huron Pkwy Ann Arbor MI 48104-5156 |
| Mailing Address |
2900 Golfside Rd Suite 6 Ann Arbor MI 48108-5156 |
| Practice Telephone | 7346778700 |
| Practice Fax Number | 7348394137 |
| Mailing Telephone | 7346778700 |
| Mailing Fax Number | 7348394137 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12814 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BK8276948 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1795 W Stadium, Ann Arbor, MI 48103 | 7346623222 | 7348394137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316487044 | Daniel Kennedy | Nurse Practitioner | 304 Northcreek Blvd, Suite 120, Goodlettsville, TN 37072-2096 | 2017-02-28 |
| 1073747507 | Daniel Kennedy | Counselor | 65 Meadows Dr, Glassboro, NJ 08028-2424 | 2009-05-12 |
| 1447326590 | Daniel O'neill Kennedy | Registered Nurse | 1432 Sultan Drive, Suite 100, Fort Detrick, MD 21702-5001 | 2006-11-28 |
| 1659446714 | Daniel P Kennedy | Chiropractor | 214 W 29th St, Ste# 205, New York, NY 10001-5203 | 2006-11-22 |
| 1093809568 | Daniel J Kennedy | Internal Medicine | 1637 Westshore St, Davis, CA 95616-2973 | 2006-10-02 |
| 1437678166 | Daniel Patrick Kennedy | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-09-13 |
| 1629512900 | Daniel Kennedy | Occupational Therapist | 8559 N Line Creek Pkwy, Kansas City, MO 64154-2100 | 2016-12-06 |
| 1437560281 | Daniel Kennedy | Student in an Organized Health Care Education/Training Program | 2500 N State St, Dept of Radiology, Jackson, MS 39216-4500 | 2014-05-14 |
| 1255687174 | Daniel Michael Kennedy | Licensed Psychiatric Technician | 400 N Pepper Ave, Colton, CA 92324-1801 | 2012-07-29 |
| 1609133032 | Daniel Bernard Kennedy | Technician, Other | 7300 Klawock Hollis Highway, Klawock, AK 99925 | 2012-04-23 |
| Street Address |
2365 S HURON PKWY |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-5156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154430718 | Kennedy Marzonie Gray & Associates Pllc | Dentist | 2365 S Huron Pkwy, Ann Arbor, MI 48104-5156 | 2006-08-29 |
| 1881034098 | Apnea Alternatives | Dentist | 2365 S Huron Pkwy, Ann Arbor, MI 48104-5156 | 2013-07-02 |
| 1003254285 | Alexander Thomas Marlow | Dentist | 2365 S Huron Pkwy, Ann Arbor, MI 48104-5156 | 2013-06-10 |
| 1083051288 | Emily Susan Kennedy | Dentist | 2365 S Huron Pkwy, Ann Arbor, MI 48104-5156 | 2013-05-29 |
| 1013133792 | Sharon Kay Allen | Social Worker | 2365 S Huron Pkwy, Suite A, Ann Arbor, MI 48104-5156 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635232 | Mamatha Valishetty | Dentist | 2776 Sagebrush Cir Apt 106, Ann Arbor, MI 48103-8776 | 2020-07-03 |
| 1144846171 | Leah Baldinger | Dentist | 1500 E Medical Center Dr Spc 5222, Ann Arbor, MI 48109-5222 | 2020-06-25 |
| 1700446879 | Nathalia Paiva De Andrade | Dentist | 1011 N University Ave # 1324, Ann Arbor, MI 48109-1078 | 2019-06-19 |
| 1801456173 | Suzette Damarlie Laing | Dentist | 1011 N University Ave Rm 1324, Ann Arbor, MI 48109-1078 | 2019-06-18 |
| 1851959241 | Catherine Haviland | Dentist | 1011 N University Ave Spc 1078, Ann Arbor, MI 48109-1078 | 2019-05-31 |
| 1801372008 | Joseph Fazzio | Dentist | 465 Harbor Way, Ann Arbor, MI 48103-6666 | 2018-07-11 |
| 1255824371 | Sergio Fabian Calleja Blanco | Dentist | 917 S Forest Ave, Ann Arbor, MI 48104-3542 | 2018-06-13 |
| 1669965257 | Tarek Nabil Metwally | Dentist | Michigan Medicine, University of Michigan Dept of Omfs, 1515 Hospital Dr. G1218 Towsley, Spc 5222, Ann Arbor, MI 48109-5222 | 2018-06-08 |
| 1326551011 | Ali Bushahri | Dentist | 1011 North University, Ann Arbor, MI 48109-1078 | 2017-11-16 |
| 1689193278 | Ennis Malik Bedair | Dentist | 1500 E. Medical Center Dr., Med Inn C213a, Ann Arbor, MI 48109 | 2017-09-14 |
| Find all providers in ANN ARBOR | ||||
Please comment or provide details below to improve the information on DANIEL JACOB KENNEDY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.